@php $fid = 'nef_'.Str::random(6); @endphp
<div class="card rounded-3xl p-7 md:p-8">
<div class="flex items-center gap-3 mb-6">
<span class="text-3xl">🇳🇵</span>
<div>
<h3 class="font-bold text-base" style="color: var(--dark);">{{ __('site.nepal_form_heading') }}</h3>
<p class="text-xs" style="color: var(--text-muted);">{{ __('site.nepal_form_sub') }}</p>
</div>
</div>
<div id="{{ $fid }}_success" class="hidden rounded-2xl p-5 mb-4 text-center" style="background: rgba(34,197,94,0.08); border: 1px solid rgba(34,197,94,0.22);">
<svg class="w-10 h-10 mx-auto mb-3" style="color:#22C55E" fill="none" stroke="currentColor" viewBox="0 0 24 24" stroke-width="2"><path stroke-linecap="round" stroke-linejoin="round" d="M9 12l2 2 4-4m6 2a9 9 0 11-18 0 9 9 0 0118 0z"/></svg>
<p class="font-bold text-sm" style="color: var(--dark);">{{ __('site.nepal_form_success') }}</p>
<p class="text-xs mt-1" style="color: var(--text-muted);">{{ __('site.nepal_form_success_sub') }}</p>
</div>
<form id="{{ $fid }}" class="space-y-4" onsubmit="submitEnquiry(event, '{{ $fid }}')">
@csrf
<input type="hidden" name="buyer_type" value="nepal_export">
<input type="hidden" name="source_page" value="{{ request()->path() }}">
<input type="hidden" name="language" value="{{ app()->getLocale() }}">
<input type="text" name="_honey" class="hidden" tabindex="-1" autocomplete="off">
<div class="grid grid-cols-2 gap-3">
<div>
<label class="form-label">{{ __('site.nepal_form_company') }} *</label>
<input type="text" name="company_name" required placeholder="{{ __('site.nepal_form_company_ph') }}" class="form-input">
</div>
<div>
<label class="form-label">{{ __('site.nepal_form_contact') }} *</label>
<input type="text" name="name" required placeholder="{{ __('site.nepal_form_contact_ph') }}" class="form-input">
</div>
</div>
<div class="grid grid-cols-2 gap-3">
<div>
<label class="form-label">{{ __('site.nepal_form_phone') }} *</label>
<input type="tel" name="phone" required placeholder="+977-XXXXXXXXX" class="form-input">
</div>
<div>
<label class="form-label">{{ __('site.nepal_form_city') }}</label>
<input type="text" name="city_district" placeholder="{{ __('site.nepal_form_city_ph') }}" class="form-input">
</div>
</div>
<div>
<label class="form-label">{{ __('site.nepal_form_products') }} *</label>
<textarea name="product_interest" required rows="3" placeholder="{{ __('site.nepal_form_products_ph') }}" class="form-input resize-none"></textarea>
</div>
<div>
<label class="form-label">{{ __('site.nepal_form_qty') }}</label>
<input type="text" name="monthly_quantity" placeholder="{{ __('site.nepal_form_qty_ph') }}" class="form-input">
</div>
<button type="submit" class="btn-accent w-full" style="border-radius: 14px;">
<svg class="w-4 h-4" fill="none" stroke="currentColor" viewBox="0 0 24 24" stroke-width="2"><path stroke-linecap="round" stroke-linejoin="round" d="M12 19l9 2-9-18-9 18 9-2zm0 0v-8"/></svg>
{{ __('site.nepal_form_submit') }}
</button>
</form>
</div>